Individual provider Active NPI

John Walter Fitchett Canter, DDS

  • Dentist
  • Harrisonburg, VA
National Provider Identifier
1619988011
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401007473 Issued in VA
Practice address
1741A Erickson Avenue
Harrisonburg, VA 22801-8555
Phone
(540) 433-3747
NPI assigned
Aug 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401007473 VA Primary

Addresses

Primary practice location

1741A Erickson Avenue
Harrisonburg, VA 22801-8555

Mailing address

1741A Erickson Avenue
Harrisonburg, VA 22801-8555
Phone (540) 433-3747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160303001993 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6002112893

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619988011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741A ERICKSON AVENUE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018555",
            "telephone_number": "540-433-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741A ERICKSON AVENUE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018555",
            "telephone_number": "540-433-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTER",
        "first_name": "JOHN",
        "middle_name": "WALTER FITCHETT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401007473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.